OEC 6th Edition Chapter 32

You are assisting a 29-year-old spinal injury paraplegic skier who lost control of his sit ski and hit a tree. Even though there are no obvious signs of injury, the patient suddenly starts to feel panicky, and you become concerned about autonomic dysreflexia. Other signs/symptoms that would support this assessment include all of the following except:

A) hypotension.

B) altered mental status.

C) headache.

D) blurred vision.

A) hypotension.

A group of ski patrollers have invited you to join their team on a bike ride to raise money for multiple sclerosis (MS) research. You recall learning about MS in your OEC class, but you ask your friend to remind you of some of the key features of this condition. Which of the following statements made by your friend would be most accurate?

A) "MS does not affect vision."

B) "MS does not affect mental capacity and memory."

C) "MS is a progressive disease that causes degeneration of both central and peripheral nerves."

D) "Speech and mood are generally not affected by MS."

C) "MS is a progressive disease that causes degeneration of both central and peripheral nerves."

What is true about a patient with a cognitive disability?

A) A cognitive disability can result from traumatic brain injuries.

B) Cognitive disabilities limit the person's ability to process information.

C) Patients with cognitive disabilities usually have problems with coordination.

D) All of these are correct.

D) All of these are correct.

When caring for a patient with dyslexia, it is important to remember that:

A) all individuals with dyslexia have below-normal intelligence.

B) the patient may have difficulty processing new information.

C) you should not expect any impairment in communication.

D) many dyslexic people have spasticity.

B) the patient may have difficulty processing new information.

You are teaching a class on adaptive athletes and are asked to discuss Asperger syndrome. Which of the following statements is an appropriate response?

A) "Asperger syndrome is a condition manifested by a standard group of symptoms, including physical impairments."

B) "Asperger syndrome is an autism spectrum disorder in which the person may be fearful in unfamiliar environments."

C) "Asperger syndrome implies that the person has no difficulty participating in normal day-to-day activities but may have difficulty with long-range planning."

D) "Individuals with Asperger syndrome are less likely to come in contact with rescuers than are members of the general population."

B) "Asperger syndrome is an autism spectrum disorder in which the person may be fearful in unfamiliar environments."

You are caring for a hearing-impaired athlete and realize that in order to communicate, you:

A) must know sign language or call for someone who does.

B) can usually speak loudly enough to be understood.

C) will need paper and a pen because most hearing-impaired individuals cannot speak.

D) should face the person because most hearing-impaired individuals can read lips.

D) should face the person because most hearing-impaired individuals can read lips.

It's 2 p.m. on Saturday, and you're out for a bike ride with friends. About halfway down a small hill, you see an adult and a child at the side of the road. It appears that the child may have fallen. As you approach, you ask if you can help, to which you hear a mom's thankful "yes." The child, who is about 8 years old, is sitting quietly and does not respond when you say "hi." The mother explains that her son has atypical autism. Based on this information, which of the following techniques might you use to complete your assessment?

A) Ask the child open-ended questions.

B) Speak to the child loudly to get his attention.

C) Give the child simple, one-step directions.

D) Speak only to the child.

C) Give the child simple, one-step directions.

When caring for patients with life-long intellectual disabilities:

A) use a stern, unemotional tone of voice because they may not pay attention to you.

B) include their caretakers in the assessment because they can help with communication.

C) provide care quickly because they will not know they are cold.

D) talk to the patient as if they were at a sixth-grade level.

B) include their caretakers in the assessment because they can help with communication.

You are assisting a 32-year-old woman whose right leg has been amputated below the knee. The injured skier is complaining of severe pain in her right thigh, which shows evidence of a fracture. After picking up a rigid splint, what should be your next thought?

A) "Further amputation will probably be required."

B) "I should use a quick splint instead."

C) "When was the last time she ate?"

D) "What is her temperature?"

B) "I should use a quick splint instead."

It is a cold, snowy Saturday afternoon, and, unfortunately, the chair lift has broken, and a lift evacuation is required. You know that there is an adaptive skier group somewhere on the lift. As you prioritize the lift evacuation, you recognize that:

A) athletes with mobility problems are at increased risk of cold-exposure injuries.

B) someone will need to instruct paraplegic skiers on how to detach themselves from the sit-ski so they can be lifted out for the evacuation.

C) a blind skier's guide should be evacuated before the blind skier so that the guide can direct the blind skier down.

D) skiers with intellectual disabilities should be left to the end because they will take a long time to understand your directions.

A) athletes with mobility problems are at increased risk of cold-exposure injuries.

Impairment

is loss of specific physical physiological or psychological ability, can often overcome using specialized equipment

Disability

can be intellectual or cognitive ability, which is conscious mental activity like thinking, reasoning, or remembering, and conditions include learning disorders, dyslexia, autism, mental illness

Catheter

is inserted into urethra or lower abdomen above pubic area, connected to outside bag, may be used to collect urine

Ostomy bag

clear plastic bag enables collection of feces through surgically created port in abdomen wall

Urostomy device

 is surgically created port in anterior abdomen or near kidneys that drains the urinary system

Prosthetic leg

Many designs which could include only ankle joint, both knee and ankle, depends where leg was amputated. Some designed for specific sport, some may wear brace on “good” leg to decrease risk of sprain

Prosthetic arm

Have hook shaped pinching device that enables objects to be grasped and manipulated, some may have hand controlled by computer chips

Sliding board

 Smooth flat board about 12 inches wide and 3 feet long, used to assist transfer of someone to and from a wheelchair, those with little to no leg muscle function may additionally use a sling device to move the leg while sitting. Those with use of their arms will be able to transfer and move their leg to the desired position

Ski Bra

Attaches to the front of each ski holding them a fixed distance apart

Sit-Ski

Device with a bucket or seat in which adaptive skier sits

Ski spreader

Bar placed under the heels of adaptive skiers to keep the rear of the skis separated and fixed. This device is often used in conjunction with ski tip tethers to facilitate stable wedge ski position

Ski stander

Attaches to skis and utilizes waist harness to help support adaptive skier in standing position

Autonomic dysreflexia

a potentially life-threatening condition that causes a sudden increase in blood pressure, often triggered by a stimulus below the level of a spinal cord injury. Symptoms include a severe headache, flushing and sweating above the injury level, nasal congestion, blurred vision, and a slow or fast heart rate